| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $4,470.00 | $8,000.00 | |
Anthem BCBS
| Facility | $821.00 | $1,963.00 | $4,958.00 | |
Medica
| Facility | $749.19 | $1,644.00 | $26,542.00 | |
United
| Facility | $1,644.00 | $2,874.00 | $5,813.00 |